TAYLOR GRITTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008811

License Status

NOT RENEWED

Business

First Name

TAYLOR

Last Name

GRITTON

Business Name

TAYLOR GRITTON

Original Issue Date

01/13/2022

Effective Date

01/13/2022

Expiration Date

03/01/2024

City

TIPTON

State

Zip

52772

Ever Disciplined

LastModifiedDate

02/05/2025